Kenneth Pack JR., D.C.

NPI #1740507714 in Vian, Oklahoma

Provider Information

NPI Number: 1740507714
Entity Type: Individual
Name: Kenneth Pack JR., D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 29, 2010
Last Updated: Apr 29, 2010

Practice Location

Address: 512 S. THORTON STREET
City: Vian
State: Oklahoma
ZIP Code: 74962
Phone: (918) 773-3025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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